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Infection and Immunity, February 1999, p. 562-567, Vol. 67, No. 2
Division of Bacteriology, United States Army
Medical Research Institute of Infectious Diseases, Fort Detrick,
Frederick, Maryland 21701-5011
Received 6 July 1998/Returned for modification 10 August
1998/Accepted 4 November 1998
The protective efficacy of several live, recombinant anthrax
vaccines given in a single-dose regimen was assessed with Hartley guinea pigs. These live vaccines were created by transforming A major factor in the virulence of
Bacillus anthracis is its secretion of two binary toxins,
lethal toxin and edema toxin (35, 46). These two toxins
possess a common cell receptor-binding (B) component but have distinct
biochemically active (A) components. Lethal toxin consists of the
cell-binding component, protective antigen (PA) (9), plus an
A protein, lethal factor (LF) (28). Likewise, edema toxin is
comprised of the same B protein, PA, plus a second A protein, edema
factor (EF) (28). All three of these toxin proteins are
encoded on a naturally occurring, 184-kb plasmid known as pX01
(28, 34, 35, 46). A third virulence factor is the
antiphagocytic poly-D-glutamic acid capsule encoded on a
separate 90-kb plasmid known as pX02 (13, 48).
PA binds to a cell surface receptor, where it is proteolytically
activated (26, 41), creating a site for LF or EF binding. Once assembled, the toxin complex is internalized by receptor-mediated endocytosis (11, 12). PA serves as a carrier to facilitate entry of LF and EF into the host cell cytoplasm (10, 30,
41). Consistent with the central role of PA in anthrax toxin
action, vaccination with PA alone can induce protective immunity to
anthrax (23).
The anthrax vaccine currently licensed for human use in the United
States is composed of a sterile culture supernatant of an attenuated
pXO1+, pXO2 In an attempt to create an anthrax vaccine that provides high levels of
protective efficacy without such a prolonged vaccination schedule, many
efforts have focused on creating live, attenuated anthrax vaccines
(1, 19, 22, 29, 36, 47) or on combining purified anthrax PA
with various adjuvants (23). A live, attenuated anthrax
vaccine similar to the pXO1+, pXO2 We report here the construction of three new gram-negative/
gram-positive shuttle vectors that express the B. anthracis
PA gene alone in two nontoxinogenic, nonencapsulated anthrax stains. Our objective was to assess these recombinant strains for the ability
to serve as live anthrax vaccines and to test the most promising
strains as one-shot vaccines in guinea pigs. A derivative of one of
these strains may fulfill our goal of replacing the current human
anthrax vaccine with a safe, efficacious, and more easily administered
vaccine effective in a single dose.
Bacterial strains.
The bacterial strains and plasmids used
in this study are listed in Table 1.
0019-9567/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
Vaccination against Anthrax with Attenuated Recombinant
Strains of Bacillus anthracis That Produce
Protective Antigen
and
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ABSTRACT
Top
Abstract
Introduction
Materials and methods
Results and discussion
References
ANR
and
Sterne, two nonencapsulated, nontoxinogenic
strains of Bacillus anthracis, with four different
recombinant plasmids that express the anthrax protective antigen
(PA) protein to various degrees. This enabled us to assess the effect
of the chromosomal background of the strain, as well as the amount of
PA produced, on protective efficacy. There were no significant
strain-related effects on PA production in vitro, plasmid stability in
vivo, survival of the immunizing strain in the host, or protective
efficacy of the immunizing infection. The protective efficacy of the
live, recombinant anthrax vaccine strains correlated with the anti-PA antibody titers they elicited in vivo and the level of PA they produced
in vitro.
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INTRODUCTION
Top
Abstract
Introduction
Materials and methods
Results and discussion
References
B. anthracis strain
containing various amounts of PA, as well as lesser quantities of LF
and EF, adsorbed to aluminum hydroxide (14, 34a, 37). The
undefined nature of the components and the requirement for six
immunizations over 18 months followed by annual boosters (3)
suggest the need for an improved, alternative vaccine (44).
Sterne
veterinary vaccine is used in humans in the former Soviet Union
(39) although reactogenicity may be a problem
(42). Other efforts have focused on the creation of live,
recombinant anthrax vaccines by using B. subtilis, vaccinia
virus, or Salmonella typhimurium as a vector to express the
cloned PA gene in the vaccinated host (7, 17, 18, 20, 22,
49). However, no attempts have been made to create a recombinant,
live anthrax vaccine by using small, high-copy-number plasmids in
B. anthracis to obtain enhanced expression of the PA gene.
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MATERIALS AND METHODS
Top
Abstract
Introduction
Materials and methods
Results and discussion
References
TABLE 1.
Bacterial strains and plasmids used in this study
Enzymes. Restriction endonuclease BstYI was obtained from New England Biolabs Inc. (Beverly, Mass.). All other nucleases, proteases, phosphatases, and ligases were from GIBCO BRL (Grand Island, N.Y.) and were used as recommended by the suppliers.
Experimental animals. Female Hartley guinea pigs weighing 400 to 450 g at the start of vaccination were obtained from Charles River Laboratories (Wilmington, Mass.). In conducting the research described in this report, we adhered to the Guide for the Care and Use of Laboratory Animals (6) as promulgated by the Institute of Laboratory Animal Resources, National Research Council. Our facilities are fully accredited by the Association for Assessment and Accreditation of Laboratory Animal Care International.
DNA extraction and purification.
Plasmid DNA was extracted
from Escherichia coli by the boiling method (31);
resuspended in 10 mM Tris-1 mM EDTA (pH 8.0) (all chemicals were
purchased from Sigma Chemical Co. [St. Louis, Mo.] unless otherwise
noted), mixed with 8 volumes of saturated LiCl, and purified with a
CirclePrep kit (Bio 101, Inc., La Jolla, Calif.). B. subtilis plasmid DNA was extracted in identical fashion, except
that cells were preincubated for 30 min at 37°C with fivefold more
lysozyme. B. anthracis plasmid DNA was prepared as
previously described (24), except that E buffer and lysis
buffer contained 15% (wt/vol) sucrose, samples were rapidly heated to
60°C in a boiling water bath and lysed for 1 h, and lysis was
terminated by adding
volume of 2 M Tris (pH 7) containing 3-mg/ml proteinase K followed by 30 min of incubation at 37°C.
Construction of shuttle vectors expressing anthrax PA. Plasmids pBLKSPPA in E. coli and pC194 and pUB110 in B. subtilis were prepared as described above. pC194 was digested with BstYI, and pUB110 and pBLKSPPA were digested with BamHI. Plasmid pBLKSPPA was then treated with phosphatase. pBLKSPPA was mixed with pC194 or pUB110, and the vectors were fused by ligation with T4 DNA ligase before transformation into E. coli HB101.
Transformation and selection of E. coli and B. anthracis. E. coli HB101 and GM2163 were transformed by a 45-s heat shock in calcium-containing medium as previously described (31). E. coli transformants were initially selected on L agar plates containing 5 µg of chloramphenicol (CM)/ml for pC194-based vectors or 12.5 µg of kanamycin (KAN)/ml for pUB110-based vectors with subsequent selection including 100 µg of ampicillin/ml for shuttle vectors. For successful transformation into B. anthracis, plasmids had to be demethylated by passage through GM2163 (38). B. anthracis strains were grown in BYGT medium (1.9% brain heart infusion extract, 0.5% yeast extract, 0.2% glucose, 0.4% glycerol, 0.1 M Tris [pH 8.0]) (all dehydrated culture media were purchased from Difco Laboratories, Detroit, Mich.) to an optical density at 590 nm of 0.2 to 0.4 absorbance units and transformed by electroporation in 0.4-cm cuvettes at 10 kV/cm as previously described (8) with 0.1 µg of CM/ml added during recovery to induce drug resistance gene expression from pC194-based vectors. Anthrax transformants were selected on L agar plates containing 10 µg of CM/ml for pC194-based vectors or 25 µg of KAN/ml for pUB110-based vectors. After each transformation, vector integrity was verified by analytical restriction digestion with ClaI, HindIII-BglI, or EcoRI.
Preparation of B. anthracis culture
supernatants.
Five-milliliter aliquots of FA medium (3.3%
tryptone, 2% yeast extract [dialyzed overnight against water], 0.2%
L-histidine, 0.8% Na2HPO4, 0.4%
KH2PO4, 0.74% NaCl) were inoculated with
isolated colonies, grown for 16 h at 37°C, and shaken at 120 to
150 rpm in 100-ml bottles. Cultures were chilled on ice and then made up to 0.1 mM phenylmethylsulfonyl fluoride; 1 mM EDTA, and 100 µM
o-phenanthroline. The bacteria were sedimented to a pellet for 2 min at 15,000 × g before sterile filtration of
the supernatant through 0.2-µm-pore-size cellulose acetate filters
(Nalgene, Rochester, N.Y.). Filtrates were then concentrated to 1 ml
and washed twice in a Centri-Prep concentrator (Amicon, Beverly, Mass.)
with 12 ml of 50 mM HEPES (pH 7.5)-0.1 mM phenylmethylsulfonyl
fluoride-5 mM EDTA-100 µM o-phenanthroline before
concentration to 0.5 to 0.7 ml. Concentrated samples were rapidly
frozen and stored in 50 to 100-µl aliquots at
70°C.
Assay of PA in culture supernatants. PA was measured in an assay that involved lysis of a macrophage cell line in the presence of 1-µg/ml LF and various amounts of PA, as described previously (40). Culture supernatants were serially diluted, and PA was assayed by comparison with dilutions of highly pure PA protein produced as previously described (28).
Immunoblotting. Immunoblotting was performed as previously described (43) by using the PhastSystem for electrophoresis and electroblotting (Pharmacia LKB, Piscataway, N.J.), 20 mM Tris-500 mM NaCl (pH 7.5) (TBS)-5% Carnation instant milk as the blocking buffer, and TBS-0.1% Tween 20 (Bio-Rad Laboratories, Richmond, Calif.) as the wash buffer. The primary antibody used was a rabbit polyclonal antiserum against PA, and the secondary antibody was a goat anti-rabbit-horseradish peroxidase conjugate (Bio-Rad Laboratories, Richmond, Calif.). Blots were developed with the ECL system and Hyperfilm (Amersham Inc., Arlington Heights, Ill.).
Assessment of plasmid stability in B. anthracis in
vitro.
B. anthracis spores were diluted in ice-cold L broth
(1.0% tryptone, 0.5% yeast extract, 1.0% NaCl) and assayed in
triplicate on L agar plates containing or lacking 10 µg of CM/ml
or 25 µg of KAN/ml. Five-milliliter cultures of a
107-fold dilution of spores were grown overnight at
37°C in L broth lacking antibiotic. The final culture density and
plasmid retention were assayed on L agar with and without antibiotics.
The percentage of plasmid loss per generation was equal to 100 × {1
10[log(final % Kanr/initial
% Kanr/no. of generations]}.
Preparation and purification of B. anthracis spores. Single colonies were inoculated into 5 ml of FA medium containing the appropriate antibiotic in a 100-ml bottle and shaken for 5 h at 37°C. One-tenth-milliliter aliquots were spread on L agar plates with antibiotic, and the plates were incubated overnight at 37°C and for 3 days at room temperature. Bacterial lawns were scraped off the plates, washed three times with sterile water, heat shocked for 30 min at 60°C, washed with water, purified on 58% Renografin-76 (Bristol-Myers Squibb, Princeton, N.J.) in water, as previously described (22), and washed once more with water. They were then sedimented to a pellet at 10,000 × g and resuspended finally in 1% phenol in water. Typical yields ranged from 0.5 × 109 to 5.0 × 109 spores per plate, depending on the strain and plasmid.
Persistence of B. anthracis infection and plasmid stability in vivo. Guinea pigs were inoculated intramuscularly (i.m.) in the upper hind leg with spores as described below. They were killed 1, 3, or 7 days later, and the entire inoculated muscle was removed. Muscles were minced with scissors in ice-cold, sterile phosphate-buffered saline (PBS) with 0.1% gelatin and dispersed with a motorized Teflon tissue grinder in a final volume of 40 to 50 ml. Homogenates were plated immediately on L agar containing or lacking antibiotic to determine plasmid retention in vivo. The values presented represent the mean CFU from three animals at each time point for each recombinant strain.
Vaccination and challenge of guinea pigs. Hartley guinea pigs in groups of 17 to 20 each received one 0.5-ml dose i.m. of a live vaccine strain containing 109 spores in PBS with 0.1% gelatin or one 0.5-ml dose of PBS-gelatin alone as a control. Six weeks after vaccination, guinea pigs were challenged i.m. in the thigh with 200,000 spores of the virulent B. anthracis Ames strain (100 spores = 1 50% lethal dose [LD50]) which had been prepared and stored as previously described (22). Deaths of animals were recorded for 3 weeks after challenge.
Serological studies. Two days before challenge, guinea pigs were bled by cardiac puncture. Sera were assayed for antibody to PA by enzyme-linked immunosorbent assay as described previously (18, 29, 49).
Statistical analysis. Product limit survival estimates involving time to death after challenge were used to compare live vaccines to a PBS control and to each other. The product limit survival estimates were calculated by using the Lifetest procedure of the SAS statistical software package (SAS Institute Inc., Cary, N.C.). The association between protective efficacy and anti-PA antibody response was also determined by the Lifetest procedure.
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RESULTS AND DISCUSSION |
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Construction and stability of shuttle vectors containing the PA of
B. anthracis.
Three new gram-negative/gram-positive shuttle
vectors containing the anthrax protective antigen gene were constructed
in E. coli and transformed into the
ANR and
Sterne
stains of B. anthracis (Table
1), both of which lacked pX01 and pX02,
as described in Materials and Methods and Fig. 1. In
addition to their ability to replicate in E. coli and
Bacillus species, all three of these vectors contained six
unique cloning sites in the multiple cloning site derived from
pBluescript.
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Characterization of PA production by the recombinant anthrax strains. All of the recombinant anthrax strains produced and secreted mature PA of approximately 83 kDa, as determined by reactivity with anti-PA antibodies and comigration with purified PA (Fig. 2B, lane 5). In all strains, at least 80% of the PA was present as the intact 83-kDa species. The additional bands in some samples (Fig. 2A, lanes 2 and 5) were degradation products of PA as determined by reactogenicity with anti-PA antibodies.
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Sterne (Table 2).
|
ANR or in
Sterne (Table 3).
The B. anthracis strains containing pPA102 produced 49 to 55 µg of PA/ml in vitro (Table 3). This was more than the 15 to 20 µg
of PA/ml produced with added bicarbonate by the Sterne strain containing native plasmid pX01 (20, 28) but was equivalent to the reported 42 µg/ml produced by B. subtilis
containing pPA102 (20). With the native plasmid, toxin
production is regulated by a trans activator encoded on the
pX01 toxin plasmid and is increased in the presence of bicarbonate
(2, 27, 47). However, pX01 was not present in the
recombinant anthrax strains (Table 1), and the high levels of PA
production reported in Table 3 were measured in the absence of bicarbonate.
These high PA production level may have been due to a copy number
effect. While plasmid copy number was not measured, pUB110 is known to
be a multicopy plasmid in B. subtilis (5),
whereas pX01 is present in only one or two copies per cell of B. anthracis (25). In addition, pPA102 has undergone a
spontaneous deletion which may have removed a negative regulatory
region upstream of the PA gene (20). Alternatively, the
deletion may have allowed readthrough from the adjacent phleomycin
resistance (pmr) gene, derived from pUB110, into the PA
gene to increase PA transcription (Fig. 1) (20). Further
studies are needed to address these possibilities. This deletion has
not occurred in pJB2 or pJB3, and the pmr gene is far
removed from the PA gene (Fig. 1).
Persistence of the recombinant B. anthracis
strains and plasmid stability in vivo.
The recombinant
PA-producing strains are highly attenuated. They lack the
antiphagocytic poly-D-glutamic acid capsule, the ability to produce functional toxins, and other possible virulence factors encoded on pX01 and pX02 (Table 1). Neither death nor obvious
illness occurred when animals received a dose of 109
ANR
or
Sterne spores containing the recombinant plasmids (data not presented).
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Protective efficacy of the live, recombinant anthrax vaccines. With plasmid stability (Table 2) and PA production (Table 3) as criteria, the five most promising recombinant anthrax strains were selected for use in a live-vaccine trial with the guinea pig, the animal model most frequently used in recent studies to evaluate anthrax vaccines (21). Each guinea pig was vaccinated once with 109 spores of a selected strain and challenged i.m. 6 weeks later with 2,000 LD50 of Ames, a fully virulent anthrax strain.
While only three of the live vaccines partially protected animals from death after this rigorous challenge (Table 5), detailed analysis of survival estimates based on time to death after challenge (Fig. 4) demonstrated that all of the live vaccines provided statistically significant protection relative to the PBS control (Table 5). This analysis also revealed that the best protection was induced by
Sterne(pPA102) and
ANR(pPA102) and that there was no
statistically significant difference between these two strains. A live
anthrax vaccine containing a modified pX01 plasmid that produces only the PA component of anthrax toxin provides mice with similar levels of
protection against the attenuated Sterne strain (36).
However, fully virulent strains were not tested in the latter study. In two additional experiments,
Sterne(pPA102) gave 64% (7 survivors; 11 challenged) and 50% (6 survivors; 12 challenged)
survival against a challenge dose of 100 LD50 (data not
shown).
|
Sterne(pPA102) was superior to that
induced by
Sterne(pJB2) (P = 0.0114).
Sterne(pJB2) provided significantly better protection than
Sterne(pJB3) (P = 0.0004) (Table 5, P
value versus next entry). Likewise,
ANR(pPA102) protected
significantly better than
ANR(pJB3) (P < 0.0001). Statistical analysis of all of the groups revealed a
strong correlation between the anti-PA response induced by the strain
(Table 5) and protection measured by either survival (P = 0.0001) or time to death (P = 0.0001). These
differences in protective efficacy (Table 5) also correlated strongly
with PA production in vitro (Table 3). Thus, the pPA102 strains that
produced 49 to 55 µg of PA/ml gave the best protection, the pJB2
strain producing 21 µg of PA/ml gave moderate protection, and the
pJB3 strains producing 6 to 7 µg of PA/ml gave minimal protection.
Statistical analysis supported the correlation between PA
production (Table 3) and both survival (P = 0.0056) and
time to death (P = 0.0285). The strains with the higher
PA production in vitro (Table 3) also generated the higher anti-PA
titers (Table 5) (P = 0.0146). This suggests that PA
production in vitro is proportional to production in vivo.
The importance of in vivo production of PA was further supported
by an experiment comparing the efficacy of live versus irradiated nonviable spores. In this experiment, all guinea pigs given
109
Sterne(pPA102) spores produced an anti-PA antibody
response. Six of 12 animals challenged with 100 LD50 of a
virulent strain survived. In contrast, none of 12 animals inoculated
with irradiated spores survived the lethal challenge and none
developed an immune response to PA (data not presented).
The correlation of survival with the anti-PA antibody response, as well
as with the production of PA, is most clearly seen when comparing the
Sterne strains containing the three different plasmids. Thus,
survival with
Sterne(pPA102) was significantly greater than that
with
Sterne(pJB2), which was significantly greater than that with
Sterne(pJB3) (Table 5). PA production in vitro was 55, 21, and 7 µg/ml, respectively, for the three strains (Table 3), while the
reciprocal geometric mean anti-PA antibody titers were 2,111, 192, and
33, respectively (Table 5).
In the course of this study, there were no statistically significant
differences between the
ANR and
Sterne strains with regard to
plasmid stability in vivo (Table 4), PA production (Table 3),
persistence in the host at the site of inoculation (Fig. 3), and
protective efficacy (Fig. 4 and Table 5).
|
ANR(pPA102) or the
Sterne(pPA102)
live vaccine was about as effective (Table 5) in the guinea pig model
as a single dose of the currently licensed nonliving human anthrax
vaccine (23). As the primary factors that correlated with
live-vaccine protective efficacy were the immune response to PA and PA
production, future efforts to enhance the level of PA production may
generate a live vaccine which is superior to current vaccines, even
when administered at doses lower than those used here.
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ACKNOWLEDGMENTS |
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We gratefully acknowledge the excellent technical assistance of
Steve Tobery and Karen Bostian. We also thank Susan Welkos for
provision of strain
Sterne(pPA102), Gene Nelson and Paul Gibbs for
statistical analysis, and John Lowe, Tim Hoover, and Robert Marrero for
their helpful advice. In addition, we thank Katheryn Kenyon for
critical review of the manuscript.
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FOOTNOTES |
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* Corresponding author. Mailing address: USAMRIID, 1425 Porter Street, Fort Detrick, MD 21702-5011. Phone: (301) 619-7341. Fax: (301) 619-2152. E-mail: friedlan{at}ncifcrf.gov.
Present address: Department of Microbiology, State University of
New York, Buffalo, NY 14214-3005.
Editor: D. L. Burns
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